NPI | 1386110070 |
---|---|
Other Name | JACKLIN H SONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010072) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA NP9500072) |
Enumeration Date | 2018-10-19 |
Last Update Date | 2019-11-11 |